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Maine rates for HCPCS 97530

Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

Facilitymedian $155 · 10th–90th $50$4370%5%10th90th$155Professionalmedian $35 · 10th–90th $20$910%5%10%10th90th$35$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $154.88 / $501.19
Aetna
Facility/Professional
Facility
Modifier
CO
Typical Low / Median / Typical High
$74.13 / $74.13 / $295.12
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$74.13 / $138.04 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $30.90 / $93.33
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$26.92 / $34.67 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $81.28
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $74.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $77.62